Data / Rankings / Frequent mental distress in adults, local model estimate / Counties in Missouri

Counties in Missouri by frequent mental distress in adults, local model estimate

Mississippi County had the highest frequent mental distress in adults, local model estimate of 115 counties in 2022, at 21.5%. Chariton County had the lowest, at 15.7%. The median was 18.3%. Source: the Centers for Disease Control and Prevention.

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Highest21.5Mississippi County
Lowest15.7Chariton County
Median18.3115 counties

Map of counties, 2022

Adair County: 19.2 %Andrew County: 16.7 %Atchison County: 17.3 %Audrain County: 20.8 %Barry County: 18.1 %Barton County: 19.8 %Bates County: 18.3 %Benton County: 17.1 %Bollinger County: 19.7 %Boone County: 16.9 %Buchanan County: 18.3 %Butler County: 19.4 %Caldwell County: 17.9 %Callaway County: 19.2 %Camden County: 16 %Cape Girardeau County: 18.9 %Carroll County: 17.8 %Carter County: 19.5 %Cass County: 16.6 %Cedar County: 19.3 %Chariton County: 15.7 %Christian County: 18 %Clark County: 19.3 %Clay County: 16.9 %Clinton County: 17.8 %Cole County: 16.2 %Cooper County: 18.3 %Crawford County: 19.4 %Dade County: 19.1 %Dallas County: 18.5 %Daviess County: 19.1 %DeKalb County: 17.2 %Dent County: 19.1 %Douglas County: 17.3 %Dunklin County: 19.9 %Franklin County: 17.3 %Gasconade County: 16.7 %Gentry County: 19.1 %Greene County: 17.7 %Grundy County: 18.6 %Harrison County: 18.1 %Henry County: 17.9 %Hickory County: 18.1 %Holt County: 18.4 %Howard County: 18.1 %Howell County: 20 %Iron County: 18.1 %Jackson County: 17.2 %Jasper County: 18.8 %Jefferson County: 17.8 %Johnson County: 20.2 %Knox County: 19.7 %Laclede County: 19.8 %Lafayette County: 18 %Lawrence County: 18.7 %Lewis County: 20.3 %Lincoln County: 18.3 %Linn County: 19.4 %Livingston County: 18 %McDonald County: 20.4 %Macon County: 17.5 %Madison County: 18 %Maries County: 19.2 %Marion County: 18 %Mercer County: 17.4 %Miller County: 18.1 %Mississippi County: 21.5 %Moniteau County: 18.5 %Monroe County: 17.7 %Montgomery County: 18.7 %Morgan County: 18.2 %New Madrid County: 19.7 %Newton County: 17.7 %Nodaway County: 20.9 %Oregon County: 19.5 %Osage County: 17.3 %Ozark County: 19.6 %Pemiscot County: 20.4 %Perry County: 17.1 %Pettis County: 18.6 %Phelps County: 19.4 %Pike County: 18.5 %Platte County: 16.2 %Polk County: 20.4 %Pulaski County: 20.4 %Putnam County: 16.7 %Ralls County: 17.3 %Randolph County: 18.8 %Ray County: 17.9 %Reynolds County: 19.3 %Ripley County: 21 %St. Charles County: 16.8 %St. Clair County: 18.1 %Ste. Genevieve County: 17.6 %St. Francois County: 18.6 %St. Louis County: 16.1 %Saline County: 18.1 %Schuyler County: 17.2 %Scotland County: 19.3 %Scott County: 19 %Shannon County: 19.6 %Shelby County: 18.4 %Stoddard County: 19.6 %Stone County: 16.3 %Sullivan County: 18.6 %Taney County: 18 %Texas County: 18.2 %Vernon County: 19.4 %Warren County: 18.2 %Washington County: 19.4 %Wayne County: 17.9 %Webster County: 17.8 %Worth County: 17.3 %Wright County: 19.3 %St. Louis city: 18.6 %
  • Under 17
  • 17 to 18
  • 18 to 19
  • 19 to 20
  • 20 and over
%, 2022. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. Boundaries: U.S. Census Bureau cartographic boundary files.

Top 40 counties, 2022

Mississippi County: 21.5 %Mississippi County21.5Ripley County: 21 %Ripley County21Nodaway County: 20.9 %Nodaway County20.9Audrain County: 20.8 %Audrain County20.8McDonald County: 20.4 %McDonald County20.4Pemiscot County: 20.4 %Pemiscot County20.4Polk County: 20.4 %Polk County20.4Pulaski County: 20.4 %Pulaski County20.4Lewis County: 20.3 %Lewis County20.3Johnson County: 20.2 %Johnson County20.2Howell County: 20 %Howell County20Dunklin County: 19.9 %Dunklin County19.9Barton County: 19.8 %Barton County19.8Laclede County: 19.8 %Laclede County19.8Bollinger County: 19.7 %Bollinger County19.7Knox County: 19.7 %Knox County19.7New Madrid County: 19.7 %New Madrid County19.7Ozark County: 19.6 %Ozark County19.6Shannon County: 19.6 %Shannon County19.6Stoddard County: 19.6 %Stoddard County19.6Carter County: 19.5 %Carter County19.5Oregon County: 19.5 %Oregon County19.5Butler County: 19.4 %Butler County19.4Crawford County: 19.4 %Crawford County19.4Linn County: 19.4 %Linn County19.4Phelps County: 19.4 %Phelps County19.4Vernon County: 19.4 %Vernon County19.4Washington County: 19.4 %Washington County19.4Cedar County: 19.3 %Cedar County19.3Clark County: 19.3 %Clark County19.3Reynolds County: 19.3 %Reynolds County19.3Scotland County: 19.3 %Scotland County19.3Wright County: 19.3 %Wright County19.3Adair County: 19.2 %Adair County19.2Callaway County: 19.2 %Callaway County19.2Maries County: 19.2 %Maries County19.2Dade County: 19.1 %Dade County19.1Daviess County: 19.1 %Daviess County19.1Dent County: 19.1 %Dent County19.1Gentry County: 19.1 %Gentry County19.1Mississippi County: 21.5 %Mississippi County21.5Ripley County: 21 %Ripley County21Nodaway County: 20.9 %Nodaway County20.9Audrain County: 20.8 %Audrain County20.8McDonald County: 20.4 %McDonald County20.4Pemiscot County: 20.4 %Pemiscot County20.4Polk County: 20.4 %Polk County20.4Pulaski County: 20.4 %Pulaski County20.4Lewis County: 20.3 %Lewis County20.3Johnson County: 20.2 %Johnson County20.2Howell County: 20 %Howell County20Dunklin County: 19.9 %Dunklin County19.9Barton County: 19.8 %Barton County19.8Laclede County: 19.8 %Laclede County19.8Bollinger County: 19.7 %Bollinger County19.7Knox County: 19.7 %Knox County19.7New Madrid County: 19.7 %New Madrid County19.7Ozark County: 19.6 %Ozark County19.6Shannon County: 19.6 %Shannon County19.6Stoddard County: 19.6 %Stoddard County19.6Carter County: 19.5 %Carter County19.5Oregon County: 19.5 %Oregon County19.5Butler County: 19.4 %Butler County19.4Crawford County: 19.4 %Crawford County19.4Linn County: 19.4 %Linn County19.4Phelps County: 19.4 %Phelps County19.4Vernon County: 19.4 %Vernon County19.4Washington County: 19.4 %Washington County19.4Cedar County: 19.3 %Cedar County19.3Clark County: 19.3 %Clark County19.3Reynolds County: 19.3 %Reynolds County19.3Scotland County: 19.3 %Scotland County19.3Wright County: 19.3 %Wright County19.3Adair County: 19.2 %Adair County19.2Callaway County: 19.2 %Callaway County19.2Maries County: 19.2 %Maries County19.2Dade County: 19.1 %Dade County19.1Daviess County: 19.1 %Daviess County19.1Dent County: 19.1 %Dent County19.1Gentry County: 19.1 %Gentry County19.1
%. Source: CDC, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. Retrieved 2026-10-12.

Full ranking

RankCounties2022 (%)Change on 2021
1Mississippi County21.5+2 pts
2Ripley County21+1.8 pts
3Nodaway County20.9+2.1 pts
4Audrain County20.8+2.4 pts
5McDonald County20.4+1.6 pts
5Pemiscot County20.4+0.8 pts
5Polk County20.4+2.5 pts
5Pulaski County20.4+1.9 pts
9Lewis County20.3+1.7 pts
10Johnson County20.2+2.1 pts
11Howell County20+1.4 pts
12Dunklin County19.9+0.1 pts
13Barton County19.8+1.8 pts
13Laclede County19.8+2.1 pts
15Bollinger County19.7+1.7 pts
15Knox County19.7+1.9 pts
15New Madrid County19.7+0.9 pts
18Ozark County19.6+2 pts
18Shannon County19.6+2 pts
18Stoddard County19.6+1.5 pts
21Carter County19.5+1.9 pts
21Oregon County19.5+0.5 pts
23Butler County19.40 pts
23Crawford County19.4+1.8 pts
23Linn County19.4+2.8 pts
23Phelps County19.4+2.3 pts
23Vernon County19.4+1.2 pts
23Washington County19.4+0.7 pts
29Cedar County19.3+1.5 pts
29Clark County19.3+2 pts
29Reynolds County19.3+1.9 pts
29Scotland County19.3+1.7 pts
29Wright County19.3+0.6 pts
34Adair County19.2-0.3 pts
34Callaway County19.2+2.7 pts
34Maries County19.2+2.3 pts
37Dade County19.1+1.7 pts
37Daviess County19.1+2.5 pts
37Dent County19.1+1.4 pts
37Gentry County19.1+1.9 pts
41Scott County19+1.3 pts
42Cape Girardeau County18.9+1.7 pts
43Jasper County18.8+0.4 pts
43Randolph County18.8+1 pts
45Lawrence County18.7+0.6 pts
45Montgomery County18.7+1.2 pts
47Grundy County18.6+1.7 pts
47Pettis County18.6+0.5 pts
47St. Francois County18.6+0.5 pts
47St. Louis city18.6+0.6 pts
47Sullivan County18.6+1.6 pts
52Dallas County18.5+0.5 pts
52Moniteau County18.5+1.4 pts
52Pike County18.5+1.2 pts
55Holt County18.4+2.8 pts
55Shelby County18.4+1.4 pts
57Bates County18.3+0.9 pts
57Buchanan County18.3-0.2 pts
57Cooper County18.3+1.8 pts
57Lincoln County18.3+1.4 pts
61Morgan County18.2+0.7 pts
61Texas County18.2-0.1 pts
61Warren County18.2+2.3 pts
64Barry County18.1+1 pts
64Harrison County18.1+1.2 pts
64Hickory County18.1+1.9 pts
64Howard County18.1+1.8 pts
64Iron County18.1+0.4 pts
64Miller County18.1+0.8 pts
64Saline County18.1+1.8 pts
64St. Clair County18.1+1.4 pts
72Christian County18+2.2 pts
72Lafayette County18+2.1 pts
72Livingston County18+0.6 pts
72Madison County18+0.8 pts
72Marion County18+0.7 pts
72Taney County18+1.3 pts
78Caldwell County17.9+0.2 pts
78Henry County17.9+1.1 pts
78Ray County17.9+1.2 pts
78Wayne County17.9+0.2 pts
82Carroll County17.8+1.4 pts
82Clinton County17.8+1.9 pts
82Jefferson County17.8+1.4 pts
82Webster County17.8-0.1 pts
86Greene County17.7-0.3 pts
86Monroe County17.7+1.4 pts
86Newton County17.7+1 pts
89Ste. Genevieve County17.6+1.7 pts
90Macon County17.5+1.5 pts
91Mercer County17.4+0.7 pts
92Atchison County17.3+1.3 pts
92Douglas County17.3+0.4 pts
92Franklin County17.3+1.2 pts
92Osage County17.3+1.6 pts
92Ralls County17.3+1.2 pts
92Worth County17.3+1.5 pts
98DeKalb County17.2+0.9 pts
98Jackson County17.2-0.6 pts
98Schuyler County17.2+0.3 pts
101Benton County17.1+1.6 pts
101Perry County17.1+0.3 pts
103Boone County16.9-0.1 pts
103Clay County16.9+1.3 pts
105St. Charles County16.8+2.4 pts
106Andrew County16.7+1.4 pts
106Gasconade County16.7+0.8 pts
106Putnam County16.7+1.3 pts
109Cass County16.6+0.7 pts
110Stone County16.3+1.2 pts
111Cole County16.2+0.2 pts
111Platte County16.2+1.9 pts
113St. Louis County16.1+2 pts
114Camden County16+1.1 pts
115Chariton County15.7+0.2 pts

Other periods

About this ranking

Percentage of adults who say their mental health was not good on 14 or more of the past 30 days. Model-based estimate for adults aged 18 and over from CDC PLACES. Crude prevalence, not age-adjusted.

US counties and cities (incorporated places of 10,000 or more). CDC PLACES combines Behavioral Risk Factor Surveillance System (BRFSS) answers with local population data through multilevel regression and poststratification, so a county or city value is a model estimate, not a survey count. The year is the BRFSS survey year, not the release year. CDC says the method does not support tracking change in a place over time, and each annual release can change the model, so values for different years are not strictly comparable. A state is missing in a year when its BRFSS data did not meet standards (Kentucky and Pennsylvania in 2023, Florida in 2021). Connecticut counties appear as its nine planning regions from 2022; its eight former counties are not served. City values for 2021 come from the 2023 release, built on 2010 Census place boundaries; later years use 2020 boundaries.

Every value in the ranking comes from the same publisher and the same period, so the counties are compared on one definition. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.

Citation styles

The publisher is the author. Invokely is named only as the place the figures were read, where a style asks for it.

APA 7

Centers for Disease Control and Prevention. (2025). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence (Counties in Missouri by frequent mental distress in adults, local model estimate, 2022) [Data set]. Retrieved October 12, 2026, from https://www.cdc.gov/places/

MLA 9

PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence, Counties in Missouri by frequent mental distress in adults, local model estimate, 2022. Centers for Disease Control and Prevention, 4 Dec. 2025, https://www.cdc.gov/places/. Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/missouri-counties?period=2022. Accessed 12 Oct. 2026.

Chicago (author-date)

Centers for Disease Control and Prevention. 2025. PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. Counties in Missouri by frequent mental distress in adults, local model estimate, 2022. Dataset. Accessed October 12, 2026. https://www.cdc.gov/places/. Also distributed by Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/missouri-counties?period=2022.

Harvard

Centers for Disease Control and Prevention (2025) PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence, Counties in Missouri by frequent mental distress in adults, local model estimate, 2022 [Dataset]. Available at: https://www.cdc.gov/places/, via Invokely: https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/missouri-counties?period=2022 (Accessed: 12 October 2026).

BibTeX
@misc{centers_counties_in_missouri_by_2022,
  author = {{Centers for Disease Control and Prevention}},
  title = {{PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence: Counties in Missouri by frequent mental distress in adults, local model estimate, 2022}},
  year = {2025},
  howpublished = {Data set},
  url = {https://www.cdc.gov/places/},
  urldate = {2026-10-12},
  note = {Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/missouri-counties?period=2022. Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.},
}
RIS
TY  - DATA
AU  - Centers for Disease Control and Prevention
TI  - PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence: Counties in Missouri by frequent mental distress in adults, local model estimate, 2022
PY  - 2025
DA  - 2025/12/04
PB  - Centers for Disease Control and Prevention
DB  - Invokely
UR  - https://www.cdc.gov/places/
L2  - https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/missouri-counties?period=2022
Y2  - 2026/10/12
N1  - Accessed via Invokely, https://invokely.ai/rankings/adult-frequent-mental-distress-rate-county-estimate/missouri-counties?period=2022.
N1  - Publisher attribution: Centers for Disease Control and Prevention (CDC). PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. https://www.cdc.gov/places/. Retrieved 2026-10-12. These data are available free from CDC. Use does not imply endorsement by CDC, ATSDR, HHS or the United States Government.
ER  -
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Questions

Which county has the highest frequent mental distress in adults, local model estimate?

Mississippi County, with 21.5% in 2022, according to the Centers for Disease Control and Prevention.

Which county has the lowest frequent mental distress in adults, local model estimate?

Chariton County, with 15.7% in 2022.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, County Data (swc5-untb, fu4u-a9bh, h3ej-a9ec and later releases), frequent mental distress in adults, crude prevalence. Retrieved 2026-10-12.

Frequent mental distress in adults, local model estimate: other rankings

Counties in Missouri: more rankings